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JED BLACK INTERN
NPI 1831688233
Counselor - Mental Health in Clinton, UT

Active since May 02, 2018
1407 N 2000 W STE J, CLINTON, UT 84015(801) 855-7999(801) 855-7999 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jed Black Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JED BLACK INTERN (NPI 1831688233) is an individual mental health provider in Clinton, Utah and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1831688233
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJED BLACKCredential: INTERN
Location Address1407 N 2000 W STE JClinton, UT 84015-8563
Mailing Address1407 N 2000 W Ste JClinton, UT 84015-8563 · (801) 855-7999 · Fax (801) 855-7999
Phone(801) 855-7999
Fax(801) 855-7999
Sole ProprietorNo
Enumeration DateMay 2, 2018
✔ NPI 1831688233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1407 N 2000 W STE J, Clinton, UT 84015
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARKIE CUMMINS LMT
Massage Therapist
1407 N 2000 W STE J
CLINTON, UT 84015
Davis County (801) 835-8040
MARIA KING LMT
Massage Therapist
1407 N 2000 W STE J
WEST POINT, UT 84015
Davis County (801) 784-5777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jed Black's NPI number?

The NPI number for Jed Black is 1831688233. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Jed Black located?

Jed Black practices at 1407 N 2000 W Ste J, Clinton, UT 84015. The listed phone number is (801) 855-7999.

What is Jed Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jed Black was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.